In rare cases, the Epley maneuver will not relieve your symptoms and you will need to have surgery on the ear canal. Most patients experience symptom relief after the Epley maneuver is performed. He or she may also recommend wearing a soft collar. Canalith repositioning maneuvers (most commonly the Epley maneuver Epley maneuver: A simple treatment for a common cause of vertigo or, less commonly, the Semont, maneuver or Brandt-Daroff exercises) involve moving the head through a series of specific positions intended to return the errant canalith to the utricle. In order to keep your head still, your doctor may recommend sleeping with two or more pillows to tilt your head to a 45-degree angle. Movements that could cause the crystals to dislodge include bending over too quickly, lying down too quickly, tilting your head or moving your head back and forth.
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